Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $2,970.17 / $4,846.00	Facility		$2,318.00	$2,970.17	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,547.44 / $2,819.21 / $3,797.22	Professional		$2,547.44	$2,819.21	$3,797.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,838.00 / $16,821.03 / $25,253.12	Facility		$4,838.00	$16,821.03	$25,253.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,013.94 / $2,504.50 / $3,456.21	Professional		$2,013.94	$2,504.50	$3,456.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,475.14 / $3,217.68 / $3,712.71	Facility		$2,475.14	$3,217.68	$3,712.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,475.14 / $2,970.17 / $3,712.71	Professional		$2,475.14	$2,970.17	$3,712.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $3,227.34	Facility		$761.00	$761.00	$3,227.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,024.58 / $3,185.99 / $5,668.63	Professional		$2,024.58	$3,185.99	$5,668.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,076.00 / $10,926.00	Facility		$1,403.00	$5,076.00	$10,926.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,241.48 / $3,105.31 / $5,404.37	Professional		$2,241.48	$3,105.31	$5,404.37